Individual provider · Type 1 NPI
Nicole Dortch, CFM
Mastectomy Fitter · Falls Church, VA
NPI number
1649176199
Active
Practice location
1073 W Broad St # 212A
Falls Church, VA 22046-4600
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mastectomy Fitter Primary | 224900000X | CFM03608 (VA) |
Mastectomy Fitter: An individual trained in the fitting and adjusting of breast prostheses and management of post-mastectomy prostheses services.
About NPI 1649176199
Nicole Dortch, CFM's National Provider Identifier is 1649176199, issued on Oct 19, 2026. The primary taxonomy on file is Mastectomy Fitter (224900000X), and the practice location is in Falls Church, VA. The record was last updated on Oct 19, 2026.